Healthcare Provider Details

I. General information

NPI: 1255920435
Provider Name (Legal Business Name): N&V DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16235 S STATE ROAD 7
DELRAY BEACH FL
33446-2736
US

IV. Provider business mailing address

16235 S STATE ROAD 7
DELRAY BEACH FL
33446-2736
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-4443
  • Fax:
Mailing address:
  • Phone: 561-637-4443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. NAMEETA IDNANI
Title or Position: DENTIST
Credential: DMD
Phone: 516-721-8327